| NPI | 1326606641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD477290) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT218038) |
| Enumeration Date | 2019-06-01 |
| Last Update Date | 2023-08-18 |