| NPI | 1457764391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA MD-44292) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-44292) |
| 208000000X Pediatrics (Licence: IA R-09950) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2021-07-08 |