| NPI | 1770932154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 92543) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 008279) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-08-13 |