| NPI | 1114362787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME140387) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 191766) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2023-03-07 |