| NPI | 1689802738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 320960) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 320960) |
| 208000000X Pediatrics (Licence: MA 266554) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 266554) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2023-03-10 |