| NPI | 1598108755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A133794) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME MD23964) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2020-09-18 |