| NPI | 1033387212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: TX P4236) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301091302) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2019-06-20 |