| NPI | 1710337936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN MD0000059442) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD0000059442) |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2022-08-02 |