| NPI | 1669762746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD20351) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 260329) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2019-07-01 |