| NPI | 1730435462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 25726) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-2952) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MS 25726) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2022-01-17 |