| NPI | 1558852210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD18479) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP04236) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2023-04-27 |