| NPI | 1447781513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 284146) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 20546) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2022-02-09 |