| NPI | 1518130665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME155022) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.34582) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2023-04-13 |