| NPI | 1558672568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI LP02084) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 273918) |
| 207R00000X Internal Medicine (Licence: RI LP02084) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2023-06-30 |