| NPI | 1871951905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NE 30303) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX V5505) |
| 208000000X Pediatrics (Licence: NE 30303) | |
| 208D00000X General Practice (Licence: NE 30303) | |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2025-07-23 |