| NPI | 1629089040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN 017350) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 17350) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2022-01-20 |