| NPI | 1982991345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME135199) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2011018176) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2018-07-26 |