| NPI | 1912345604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN 59136) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN18828) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2019-06-28 |