| NPI | 1942477740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD16026) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 247541) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2020-10-19 |