| NPI | 1790279859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: WA MD.61137682) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD.MD.61137682) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2024-05-21 |