| NPI | 1245736834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD61525439) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61525439) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-07-25 |