| NPI | 1225266414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 250584) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP01709) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2012-06-08 |