| NPI | 1780936641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN MD49153) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD49153) |
| 208000000X Pediatrics (Licence: GA 72008) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2016-07-20 |