| NPI | 1326126350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME R037277) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: ME R037277) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-01-23 |