| NPI | 1619134988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME116808) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 257836) |
| 208000000X Pediatrics (Licence: PA MD439924) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2016-11-15 |