| NPI | 1689635344 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD13014)  | 
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: RI MD13014)  | 
| Enumeration Date | 2006-03-31 | 
| Last Update Date | 2020-05-28 |