| NPI | 1013400134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD20450) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT215118) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2025-06-26 |