| NPI | 1619296837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH EL12742) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME MD19724) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2023-09-25 |