| NPI | 1538455076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101256228) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: SC MD40842) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2022-07-21 |