| NPI | 1720668965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD20636) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 328259) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2025-06-03 |