| NPI | 1588221204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD21234) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 1014656) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2026-07-23 |