| NPI | 1649632282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DC MD210011628) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10635000) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2023-06-29 |