| NPI | 1538654488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2024032866) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME148776) |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2024-10-15 |