| NPI | 1043357320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PR 15737) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 15737) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-08-22 |