| NPI | 1063587343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME 017899) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME EC-05-003) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-03-17 |