| NPI | 1912647991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: DC MD600003778) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 74790) |
| 208000000X Pediatrics (Licence: MN 32482) | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2025-05-08 |