| NPI | 1689105819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MS 30163) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 18485) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2025-08-04 |