| NPI | 1740437359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD26815) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A108260) |
| 2080H0002X (Licence: ME MD26815) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2025-01-27 |