| NPI | 1629273131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: SC 29811) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 29811) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2015-09-04 |