| NPI | 1477757912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN 44265) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35087698) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2025-02-25 |