| NPI | 1881076412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME149911) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101265095) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2021-07-28 |