| NPI | 1508132622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME123772) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-18400) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2024-11-07 |