| NPI | 1730821679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX W0722) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX -) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2025-12-01 |