| NPI | 1336467604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2020021399) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD15010) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2020-07-28 |