| NPI | 1487850152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD13301) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 249383) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2013-06-19 |