| NPI | 1972847101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A123550) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A123550) |
| 208000000X Pediatrics (Licence: WI 61974) | |
| Enumeration Date | 2012-11-10 |
| Last Update Date | 2022-07-21 |