| NPI | 1497185706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: SC MD52835) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 55393) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2021-08-17 |