| NPI | 1730366782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD13500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 242837) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2024-04-04 |