| NPI | 1073932661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A178451) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A178451) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MD D83791) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-04-16 |