| NPI | 1679003958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX U5449) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 305454) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-01-25 |