| NPI | 1649461062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA MD.202170) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA PGY.1.LSU-PEDS) |
| 208000000X Pediatrics (Licence: LA MD.202170) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2016-10-16 |