| NPI | 1386677755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME56000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME0056000) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2012-01-09 |