| NPI | 1881020121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PR 19325) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 29624-R) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2021-05-03 |