| NPI | 1306014030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME164508) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MS 30612) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2023-08-30 |