| NPI | 1356669063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME116456) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN14670) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2013-12-05 |