| NPI | 1487069472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CA A147970) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A147970) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: WI 84079) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2024-10-09 |