| NPI | 1427323526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME123193) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 17231) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2018-08-16 |