| NPI | 1235368945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME135539) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME135539) |
| 208000000X Pediatrics (Licence: DE C1-0013322) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2019-12-31 |