| NPI | 1992234736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AZ 70187) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09192) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-10-26 |