| NPI | 1952762858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD60936851) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60936851) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2023-02-08 |