| NPI | 1750574794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD175489) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME 81343) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2016-12-08 |