| NPI | 1821409137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AK 156316) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 201650) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 201650) | |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2020-06-12 |