| NPI | 1225009970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A65637) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME 015357) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2015-01-13 |