| NPI | 1932441615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX T2797) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T2797) |
| 208000000X Pediatrics (Licence: OH 34011679) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2025-02-03 |