| NPI | 1992963508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME115676) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD446607) |
| 208000000X Pediatrics (Licence: MA 232822) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2026-07-16 |