| NPI | 1558577072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA G43317) |
| Additional Taxonomies | 174400000X Specialist (Licence: UT 1635641205) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2016-10-20 |