| NPI | 1982896866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 069586) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N3023) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2013-09-20 |