| NPI | 1801821996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME156048) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 212653) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-07-08 |