| NPI | 1720277346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME TD71117) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 230771) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2019-03-20 |