| NPI | 1518527803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI TMD00042) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP04738) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-03-07 |