| NPI | 1013999515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 02001897A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 105469) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA 02832) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2023-01-23 |