| NPI | 1720321730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 73338) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP04900) |
| 208000000X Pediatrics (Licence: MA 268200) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2023-11-20 |