| NPI | 1437105095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101266610) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME 014924) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-04-29 |