| NPI | 1639195480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD16633) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 217077) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-12-14 |