| NPI | 1255414629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA G88369) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 79532) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2026-09-15 |