| NPI | 1942437249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME167748) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101252400) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2024-04-14 |