| NPI | 1295112290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 303382) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A168629) |
| 208000000X Pediatrics (Licence: VA 0101263176) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101263176) | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2021-07-16 |