| NPI | 1003875188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.202029) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME84557) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2022-09-28 |