| NPI | 1336363951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD20870) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2010-0477) |
| 208000000X Pediatrics (Licence: NH 15293) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2016-08-18 |