| NPI | 1588971485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PR 20758) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 29218-R) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2024-03-19 |