| NPI | 1558366195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME91688) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 91688) |
| 208000000X Pediatrics (Licence: FL ME-91688) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2024-06-12 |