| NPI | 1164572632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A110761) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P20264) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A110761) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D67515) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2018-03-17 |