| NPI | 1417391863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 287409) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 33576) |
| 208000000X Pediatrics (Licence: ME MD25493) | |
| 208000000X Pediatrics (Licence: RI MD18850) | |
| Enumeration Date | 2013-04-28 |
| Last Update Date | 2025-02-27 |