| NPI | 1992795942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME0043680) |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: FL ME0043680) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2022-03-25 |