| NPI | 1740220250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD09918) |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: RI M.D.09918) |
| 2080A0000X Pediatrics Adolescent Medicine (Licence: RI MD09918) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-02-27 |