| NPI | 1568700516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 254593) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD8275) |
| Enumeration Date | 2013-01-26 |
| Last Update Date | 2013-07-12 |