| NPI | 1720469729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NV DO3189) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS019367) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2022-06-29 |