| NPI | 1790135879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD19016) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 278532) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2023-03-10 |