| NPI | 1841292364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX L4185) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME166330) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2024-11-05 |