| NPI | 1609372705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD18780) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A164868) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2022-10-20 |