| NPI | 1861923831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101265630) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101265630) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-08-07 |