| NPI | 1750517272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A115094) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 115094) |
| 208000000X Pediatrics (Licence: NY 244962) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2024-02-08 |