| NPI | 1457612921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MT 66810) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 9324739-1205) |
| 208000000X Pediatrics (Licence: NE 6723) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2018-08-06 |