| NPI | 1366971087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: RI MD18477) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 283286) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-06-17 |