| NPI | 1699195503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD462263) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10050287) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2020-07-09 |