| NPI | 1174965552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: GA 890099) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD044999) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2022-10-07 |