| NPI | 1063806537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101274668) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CO DR.0060087) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2022-04-19 |