| NPI | 1396157111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101264279) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP03069) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2021-03-03 |