| NPI | 1184069742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME132785) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2016-01559) |
| 208000000X Pediatrics (Licence: NC 192449) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2020-10-14 |