| NPI | 1225654148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1015192) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP05090) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MA 1015192) | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2025-01-15 |