| NPI | 1295260891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME147376) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 147376) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-02-06 |