| NPI | 1679068381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 75204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 75204) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-07-10 |