| NPI | 1780265439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 13882286-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SD 0630) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2024-04-01 |