| NPI | 1790715449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CT 046966) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: RI MD10982) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-04-13 |