| NPI | 1649531179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: RI MD16341) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 054287) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2018-08-16 |