| NPI | 1629061932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME 76418) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME76418) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2017-02-13 |