| NPI | 1518922095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD11561) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: RI MD11561) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2012-01-05 |