| NPI | 1912980913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA C55264) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C55264) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 212336) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2024-10-04 |