| NPI | 1467459974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME0040879) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 200000213) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2024-03-08 |