| NPI | 1558928457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 34.017825) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 10975) |
| Enumeration Date | 2019-05-26 |
| Last Update Date | 2025-08-06 |