| NPI | 1710220033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2022010574) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD458432) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2025-06-25 |