| NPI | 1184990004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: OH 35.123030) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.123030) |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2018-07-23 |