| NPI | 1942706999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 294352) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD17702) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2023-01-18 |