| NPI | 1447691522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME140534) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 271395) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2021-12-13 |