| NPI | 1275743163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U0372) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME 017972) |
| 208000000X Pediatrics (Licence: CA A88971) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A88971) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-12-06 |