| NPI | 1134195613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME0075074) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME75074) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2018-08-17 |