| NPI | 1740424449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: OR MD177198) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 268614) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2018-03-17 |