| NPI | 1962030643 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101277687) | 
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101277687) | 
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 0101277687) | |
| Enumeration Date | 2020-03-30 | 
| Last Update Date | 2023-08-23 |