| NPI | 1801247473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2024036671) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME146863) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2024-11-05 |