| NPI | 1457610198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD16731) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 263586) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2019-06-19 |