| NPI | 1942528658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD15188) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 052343) |
| 208000000X Pediatrics (Licence: MA 257174) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2015-10-21 |