| NPI | 1154708550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL OS15546) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P31329) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2025-10-21 |