| NPI | 1760658447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2008-00313) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME140645) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2021-10-26 |