| NPI | 1710470885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 291680) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 291680) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2025-03-16 |