| NPI | 1144423195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME 116329) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME116329) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2021-12-10 |