| NPI | 1942286919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: FL OS6780) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS6780) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2022-07-13 |