| NPI | 1285083063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301506780) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT211764) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2022-08-09 |