| NPI | 1497199178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2025-02619) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME127013) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2026-02-03 |