| NPI | 1174842660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME115487) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN#14714) |
| Enumeration Date | 2010-05-23 |
| Last Update Date | 2013-11-26 |