| NPI | 1841223864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME96332) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2007-00599) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-09-01 |