| NPI | 1154735793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AZ 62558) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P30083) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2021-06-11 |