| NPI | 1881610210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME0058693) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME 58693) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2014-06-27 |