| NPI | 1538588785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 270689) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 260492) |
| 208000000X Pediatrics (Licence: FL ME169382) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2025-12-19 |