| NPI | 1154376101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME154557) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00043974) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-12-08 |