| NPI | 1942205331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD09809) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 160394) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2023-11-06 |