| NPI | 1700240348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX U5315) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09095) |
| 208000000X Pediatrics (Licence: TX U5315) | |
| 208000000X Pediatrics (Licence: MO 2016020776) | |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2024-04-03 |