| NPI | 1851611693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 254438) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP01928) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2013-06-14 |