| NPI | 1912343476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX Q8527) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301102608) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2023-08-29 |