| NPI | 1356543367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 245626) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP01149) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2012-06-15 |