| NPI | 1669882668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MD D86684) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 000000000) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101260121) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2019-06-07 |