| NPI | 1467415943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME059198) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME59198) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2021-12-01 |