| NPI | 1053544783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME121201) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01071090a) |
| 208000000X Pediatrics (Licence: FL ME121021) | |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2022-02-04 |