| NPI | 1609220565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 12821391-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 83257) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2022-12-11 |