| NPI | 1992968549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: KY 41040) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital Children (Licence: KY 41040) |
| 208000000X Pediatrics (Licence: KY 40140) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2011-08-08 |