| NPI | 1861142986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC 600003727) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI CLP07063) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2026-06-22 |