| NPI | 1952453615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME128936) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 229759) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2019-04-11 |