| NPI | 1730716366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 2023-02811) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME161437) |
| 208000000X Pediatrics (Licence: NC 2023-02811) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-04-26 |