| NPI | 1861808271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 50385) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV BC 07274801978) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2019-07-25 |