| NPI | 1679553515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 78633) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 78633) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2014-02-21 |