| NPI | 1790985984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX P2693) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD12958) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-12-29 |