| NPI | 1508271990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 13340986-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL Trn20156) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2023-11-01 |