| NPI | 1942739743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD048578) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP04008) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-05-18 |