NPI | 1063467397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AL 22843) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME140829) |
208M00000X Hospitalist (Licence: FL ME140829) | |
Enumeration Date | 2006-05-24 |
Last Update Date | 2020-10-05 |