| NPI | 1063519452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME46576) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0046576) |
| 208M00000X Hospitalist (Licence: FL ME46576) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-12-04 |