| NPI | 1740818780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101277633) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101277633) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 0101277633) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2023-08-23 |