| NPI | 1043283625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME158011) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2006011991) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2023-02-08 |