| NPI | 1184865438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MN 64814) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT189590) |
| 208000000X Pediatrics (Licence: PA MD437545) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CO 0048835) | |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2018-11-26 |