| NPI | 1598711541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME 014956) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME MD14956) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-03-07 |