| NPI | 1376746230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PR 17258) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 11350) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY TP834) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2023-11-21 |