| NPI | 1669761995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 0055171) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME118499) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2021-06-17 |