| NPI | 1306292875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A165556) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P32566) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2022-06-30 |