| NPI | 1376774000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME133586) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 31971) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2018-09-04 |