| NPI | 1053754705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 72133) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 298258) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 298258) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2022-08-18 |