| NPI | 1831586957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD470634) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60858441) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2020-10-31 |