| NPI | 1467800268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 278436) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP03740) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2019-05-15 |