| NPI | 1215996319 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 022658)  | 
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CT 022658)  | 
| Enumeration Date | 2006-03-20 | 
| Last Update Date | 2025-09-11 |