| NPI | 1174719371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME121346) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 18582) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2018-09-24 |