| NPI | 1003181694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME123896) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 264496) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 264496) | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2021-10-14 |