| NPI | 1649294562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: RI MD07795) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD07795) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-03-16 |