| NPI | 1538268453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME140965) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.132408) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-11-06 |