| NPI | 1003008467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0084599) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME 100991) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2021-06-24 |