| NPI | 1881974012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 92784) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 92784) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2024-03-19 |