| NPI | 1831382589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101242795) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A97810) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2020-05-11 |