| NPI | 1063618783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: RI MD12296) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD12296) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2023-03-07 |