| NPI | 1003303918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CT 68201) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 68201) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2024-06-10 |