| NPI | 1770757635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2009-01040) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD13670) |
| 207R00000X Internal Medicine (Licence: RI MD13670) | |
| 207R00000X Internal Medicine (Licence: NC 2009-01040) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2025-10-03 |