| NPI | 1356735948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MS 28899) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 29728) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2024-04-18 |