| NPI | 1003897935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD21516) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 168980) |
| 208000000X Pediatrics (Licence: ME MD21516) | |
| 208000000X Pediatrics (Licence: NY 168980) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2019-04-01 |