| NPI | 1417341736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD18078) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME135377) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2021-10-27 |