| NPI | 1972862068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 267042) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 267042) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2018-06-28 |