| NPI | 1790773604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME157577) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD056644L) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD056644L) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2023-10-30 |