| NPI | 1699755488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD458087) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME106614) |
| 208000000X Pediatrics (Licence: MA 219067) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-12-13 |