| NPI | 1902038136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME 126814) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 18406) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2016-03-22 |