| NPI | 1134348469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME108559) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-5922) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-03-18 |