| NPI | 1063452555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX M8005) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ MA76603) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA07660300) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DE C10011111) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-03-22 |