| NPI | 1700097698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD19683) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 227781) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2013-07-01 |