| NPI | 1932326758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 13896) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP00044) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2012-02-01 |