| NPI | 1710327747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 5101020441) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101020441) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 03946) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2019-03-22 |