| NPI | 1275996621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME156590) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SD 11603) |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2025-03-15 |