| NPI | 1922593631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME166873) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT216895) |
| 208000000X Pediatrics (Licence: CA 173971) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-07-17 |