| NPI | 1033194766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD MD62745) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DC 35515) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2016-02-24 |