| NPI | 1932355419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX V7055) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 12003-I) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2025-05-08 |