| NPI | 1578518130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME88649) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME88649) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2014-02-14 |