| NPI | 1295255198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI TMD00027) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP04103) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2020-12-14 |