| NPI | 1417210527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME124788) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 17248) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2025-08-14 |