| NPI | 1164623682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101249485) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME 101210) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2011-06-15 |