| NPI | 1881836203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME DO2387) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS016054) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2013-12-06 |