| NPI | 1477896199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME127207) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME127207) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2016-04-21 |