| NPI | 1598727075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME115116) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 79718) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2013-11-14 |