| NPI | 1518378256 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A148302)  | 
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A148302)  | 
| 208000000X Pediatrics (Licence: PA MT206193)  | |
| Enumeration Date | 2014-05-15 | 
| Last Update Date | 2025-10-31 |