| NPI | 1588642821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME108583) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101233005) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2023-03-07 |