| NPI | 1811096092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 21165) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD17535) |
| 208000000X Pediatrics (Licence: MA 229715) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-01-08 |