| NPI | 1306021530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD16179) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 036270) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2024-08-08 |