| NPI | 1891860029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD6923) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 52825) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |