| NPI | 1407375306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD13267) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: ME NA) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-07-21 |