| NPI | 1801156849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 274379) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD14924) |
| 208000000X Pediatrics (Licence: MA 274379) | |
| 208000000X Pediatrics (Licence: RI LP02503) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: RI MD14924) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2018-06-11 |