| NPI | 1922201433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A116341) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD13266) |
| 208000000X Pediatrics (Licence: RI LP01048) | |
| 208000000X Pediatrics (Licence: MI 4301101691) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-10-26 |