| NPI | 1295199297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD22795) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 39891) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2026-07-08 |