| NPI | 1023184892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 23400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME111181) |
| Enumeration Date | 2006-11-25 |
| Last Update Date | 2020-10-02 |