| NPI | 1689665366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD16867) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 223852) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2019-09-19 |