| NPI | 1932586310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME141747) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2018-01886) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2022-09-26 |