| NPI | 1831620160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101269080) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101269080) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 0101269080) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-06-24 |