| NPI | 1134185614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME135011) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 219944) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2018-04-06 |