| NPI | 1114210366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2016-01961) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP02256) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2017-10-18 |