| NPI | 1437316858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME160842) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35091051) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2024-02-05 |