| NPI | 1649408824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD23707) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 252563) |
| 208000000X Pediatrics (Licence: NY 276241) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2020-09-15 |