| NPI | 1962456186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD06362) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 52717) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2012-10-04 |