| NPI | 1033504600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME143448) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA ME143448) |
| 208000000X Pediatrics (Licence: FL ME0128842) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2026-03-06 |