| NPI | 1861999252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 05023) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 05023) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL OS21268) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2025-04-09 |