| NPI | 1912494766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA 49942) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 70085) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2022-05-26 |