| NPI | 1770036592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PR 21544) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14142-I) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2023-08-26 |