| NPI | 1851770028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: VA 0101271906) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 60693) |
| 208000000X Pediatrics (Licence: MN 1851770028) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2022-12-27 |