| NPI | 1770920431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD18774) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 63856) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2022-10-31 |