| NPI | 1790028553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 075506) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 75506) |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2024-09-30 |