| NPI | 1760802052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MN 68102) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 56829) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2026-04-06 |