| NPI | 1124557418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 1015859) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP04013) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME168156) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-05-21 |