| NPI | 1376952770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME138853) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2017-0253) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2019-03-07 |