| NPI | 1770756595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD170971) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME109315) |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2018-03-17 |