| NPI | 1295772200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 81042) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 81042) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-10-31 |