| NPI | 1689967820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD14669) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP02252) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2020-09-14 |