| NPI | 1699768291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME164169) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD08253) |
| 208000000X Pediatrics (Licence: ME MD20826) | |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2024-01-04 |