| NPI | 1184980997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 83368) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-9344) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2025-04-23 |