| NPI | 1871556878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD23961) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101 056329) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2021-01-28 |