| NPI | 1962711911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA OP61126650) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI DOS-1446) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX S3918) | |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2021-04-23 |