| NPI | 1962764407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN 00052638) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 52638) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2019-10-25 |