| NPI | 1952728966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD482478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD16251) |
| 207R00000X Internal Medicine (Licence: FL ME148211) | |
| 208000000X Pediatrics (Licence: MA 281622) | |
| 208000000X Pediatrics (Licence: FL ME148211) | |
| 208000000X Pediatrics (Licence: PA MD482478) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2023-09-28 |