| NPI | 1033424783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME126180) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 28219R) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2016-01-20 |