| NPI | 1841510450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME158479) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 66564) |
| 208000000X Pediatrics (Licence: CA A112606) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2022-10-11 |