| NPI | 1194771121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 11379) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME MD15728) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2015-02-23 |