| NPI | 1891287884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI LP04361) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI TMD00038) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2022-02-10 |