| NPI | 1992279426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WV 119144) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 399502) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2024-05-15 |