| NPI | 1841495975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 139512) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME 017428) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2021-12-06 |