| NPI | 1134412224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 257886) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP02265) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2023-03-10 |