| NPI | 1871023226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 13329838-1204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116030148) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-07-12 |