| NPI | 1497012033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A164245) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-126717) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 126717) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2020-06-15 |