| NPI | 1881808921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME137563) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 42604) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2018-08-16 |