| NPI | 1639417116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX T4399) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 275631) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2024-05-02 |