| NPI | 1205328507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA DO-05779) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA DO-05779) |
| 208000000X Pediatrics (Licence: IA R-11265) | |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2024-08-07 |