| NPI | 1184912891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME 127225) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.128560) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2022-07-21 |