| NPI | 1548526379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD26373) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 76454) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2025-06-16 |