| NPI | 1225604366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1017831) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD19776) |
| 208000000X Pediatrics (Licence: SC LL86182) | |
| Enumeration Date | 2021-05-30 |
| Last Update Date | 2026-03-25 |