| NPI | 1760018741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MT228846) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML61057202) |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2023-06-25 |