| NPI | 1780003558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD26272) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 1013205) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2025-02-16 |