| NPI | 1942612734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: RI MD16570) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 271520) |
| 208000000X Pediatrics (Licence: RI MD16570) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2025-06-17 |