| NPI | 1073878104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME156313) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 34471) |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2024-02-05 |