| NPI | 1588925028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME135872) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.126166) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2018-08-29 |