| NPI | 1841782109 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI LP04322) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04322) | 
| Enumeration Date | 2018-06-03 | 
| Last Update Date | 2022-08-18 |