| NPI | 1588935118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A119674) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A119674) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2025-10-31 |