| NPI | 1730155268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101242280) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME 014032) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2012-01-31 |