| NPI | 1881031904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD21640) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP02791) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2018-03-17 |