| NPI | 1780080317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA RN2278442) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 056566-23) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2019-05-17 |