| NPI | 1083608475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: FL ME63518) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME63518) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2024-06-27 |