| NPI | 1598761264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD08146) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: RI MD08146) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2025-12-22 |