| NPI | 1386059749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DC MD048055) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2014018094) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2022-11-28 |