| NPI | 1770873101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 53035) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CT 53035) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2022-04-15 |