| NPI | 1831153394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C165108) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 231478) |
| 208000000X Pediatrics (Licence: RI MD13249) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: RI MD13249) | |
| 208000000X Pediatrics (Licence: NY 223694) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2021-10-21 |