| NPI | 1760700736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2013-00225) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME126708) |
| 208000000X Pediatrics (Licence: OH 120534) | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2017-11-01 |