| NPI | 1710398409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 312918) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT206126) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2024-05-01 |