| NPI | 1093957516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD20052) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 54745) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2022-09-28 |