| NPI | 1972947174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX S5520) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 48858) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2020-07-28 |