| NPI | 1053769471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101266723) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 267164) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2022-07-14 |