| NPI | 1790076024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX P2387) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P2387) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2023-11-08 |