| NPI | 1619351947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R8360) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PR 19645) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2021-09-03 |