| NPI | 1245680669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 12735613-1204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019023005) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2022-07-08 |