| NPI | 1396900486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME110956) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 2080A000000X) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2022-03-01 |