| NPI | 1194068882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KS 05-41899) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016026401) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2023-07-19 |