| NPI | 1669615506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301116961) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101251518) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2021-12-27 |