| NPI | 1962720227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD 042019) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP01846) |
| 208000000X Pediatrics (Licence: RI MD14299) | |
| 208000000X Pediatrics (Licence: MD D0077484) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2014-06-05 |