| NPI | 1841641198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX T0908) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301109452) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2021-07-06 |