| NPI | 1730214933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX P5347) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: DE C1-0008026) |
| 282N00000X General Acute Care Hospital (Licence: LA MD201889) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-07-29 |