| NPI | 1275571374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME87578) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME87578) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-03-07 |