| NPI | 1043673312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD16833) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 292262) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2023-02-15 |