| NPI | 1922233782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME125668) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 55280-20) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2021-06-18 |