| NPI | 1902065279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME134387) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A101230) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2026-03-09 |