| NPI | 1306374483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NM S2017-0540) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: IL 125.075351) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: NM XYZ) | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2021-07-06 |