| NPI | 1083782932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME 017462) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME EC-05-090) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-05-13 |