| NPI | 1407891930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME138065) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX L2179) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NM RS2004-0628) | |
| 208000000X Pediatrics (Licence: TX L2179) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2026-05-29 |