| NPI | 1932170891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 51227) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME93769) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2018-11-16 |