| NPI | 1710324777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD15515) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP02912) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2016-07-12 |