| NPI | 1770617532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD461082) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL 933) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NV 14355) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-07-21 |