| NPI | 1396707550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 157863) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD09872) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2017-09-06 |