| NPI | 1588617948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 29910) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 29910) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2013-12-03 |