| NPI | 1669414355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME 90011) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01068644A) |
| 208000000X Pediatrics (Licence: NJ 25MA07348200) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2016-01-06 |