| NPI | 1669559563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME100384) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME 015919) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-03-17 |