| NPI | 1073879870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI DO00939) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS017608) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2019-12-16 |