| NPI | 1801203096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX V6702) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX V6702) |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2025-10-19 |