| NPI | 1295355915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NV 29568) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME162533) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2026-06-13 |