| NPI | 1821294125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME106450) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME 106450) |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2013-12-05 |