| NPI | 1952542987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 69495) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME113835) |
| Enumeration Date | 2009-03-22 |
| Last Update Date | 2021-10-19 |