| NPI | 1497231641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME156008) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT217035) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2022-07-12 |