| NPI | 1861059727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD18421) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP04558) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2023-12-14 |