| NPI | 1346221330 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 39312) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 39312) | 
| Enumeration Date | 2005-11-08 | 
| Last Update Date | 2025-09-11 |