| NPI | 1972697837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0064361) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD035109) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MD D0064361) | |
| 208D00000X General Practice (Licence: AZ 71280) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-10-30 |