| NPI | 1437681079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME163856) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2017020322) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2024-01-11 |