| NPI | 1629045521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME114418) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 052846) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2021-01-19 |