| NPI | 1295120103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CO DR.0075123) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0075123) |
| 208000000X Pediatrics (Licence: NM MD2019-0505) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-08-07 |