| NPI | 1447285523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME162635) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.200375) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-10-13 |