| NPI | 1881012482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 300673) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 270464) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-05-29 |