| NPI | 1669411799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD16572) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME 016572) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2021-11-11 |