| NPI | 1609879196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35079875) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX H0774) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101045048) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WV 17120) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ID M9182) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CO 43579) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ND 10702) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2009-05-10 |