| NPI | 1467654152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD20800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 48677) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2025-07-25 |