| NPI | 1255307823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 49231) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD10078) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2012-01-12 |