| NPI | 1912514688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD61648320) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61648320) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2025-06-05 |