| NPI | 1184145013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX V4146) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 32849-R) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2024-11-11 |