| NPI | 1831459825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN MD52745) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301100394) |
| 208000000X Pediatrics (Licence: TN 52745) | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2022-03-29 |