| NPI | 1083974034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD24539) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2014-0946) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2021-08-16 |