| NPI | 1861697260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 14392) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PR 14392) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2025-05-16 |