| NPI | 1174722987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2011-00860) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME105546) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2023-11-03 |