| NPI | 1548250350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 216802) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 216802) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VT 042.0013419) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2016-06-24 |