| NPI | 1063460772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD13487) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 216097) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2011-01-14 |