| NPI | 1255893228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 13320063-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61643371) |
| 208000000X Pediatrics (Licence: ID M-17592) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2025-01-09 |