| NPI | 1114486206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: RI MD21161) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD21161) |
| 208000000X Pediatrics (Licence: MA 291438) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2026-04-09 |