| NPI | 1952667776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A165147) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A165147) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX P1923) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2019-10-22 |