| NPI | 1780806018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME106897) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN11411) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-07-10 |