| NPI | 1144349531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME123743) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 213657) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2018-03-21 |