| NPI | 1689993396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A135900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME116053) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2015-08-18 |