| NPI | 1215517776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC LL83504) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: FL OS21096) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2024-07-01 |