| NPI | 1558622746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 8803634-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 8803634-1205) |
| 208000000X Pediatrics (Licence: AL MD.40435) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2020-05-07 |