| NPI | 1811200124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CA A165664) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: KY 45903) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: GU M-2029) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2022-03-01 |