| NPI | 1316398571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD16626) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.027791) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-07-27 |