| NPI | 1528405776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 265595) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-255578) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2020-02-11 |