| NPI | 1386606879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME136393) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301056536) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2018-08-09 |