| NPI | 1760801559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A142368) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A142368) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2020-08-18 |