| NPI | 1518411255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME162050) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD468680) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2024-04-24 |