| NPI | 1548449028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME115347) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 245628) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2025-04-16 |