| NPI | 1760642888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 247395) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 236819) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2022-05-06 |