| NPI | 1033319967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2009-01758) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME 99261) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2024-02-06 |