| NPI | 1225353709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME153580) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 98526) |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: FL ME153580) | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2025-06-05 |