| NPI | 1578857611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD14639) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 248335) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2024-04-04 |