| NPI | 1811435613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101265132) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101265132) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2025-09-03 |