| NPI | 1558706606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME141583) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D81619) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2019-10-15 |