| NPI | 1184712648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME123675) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME99443) |
| 208000000X Pediatrics (Licence: FL TRN7721) | |
| 208000000X Pediatrics (Licence: NC 2009-01434) | |
| 208000000X Pediatrics (Licence: TN 48374) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2015-12-09 |