| NPI | 1942468541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX P7475) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS11312) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2021-10-21 |