| NPI | 1144540873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME121777) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2013-01299) |
| 208000000X Pediatrics (Licence: FL ME121777) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2021-12-02 |