| NPI | 1760764229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OK 6093) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-8866) |
| 208000000X Pediatrics (Licence: LA DO.000354) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2022-07-21 |