| NPI | 1922555952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MT219163) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301111069) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2019-09-16 |