| NPI | 1720241102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA MD.206128) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 714-L) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MS 21599) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2022-04-20 |