| NPI | 1629717558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 81805-21) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-12575) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-06-20 |