| NPI | 1578635389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 58919) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME0069453) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |