| NPI | 1164477063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME106372) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01037774A) |
| 208000000X Pediatrics (Licence: FL ME106372) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-03-07 |