| NPI | 1043511769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME136316) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 28058R) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2018-07-12 |