| NPI | 1477084267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 101589) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME144622) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2025-04-08 |