| NPI | 1215047618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD05716) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: RI MD05716) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-09-18 |