| NPI | 1700374089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2023-01017) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME150010) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2024-01-17 |