| NPI | 1790736213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME92626) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2024038633) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2024-10-15 |