| NPI | 1225094063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME-49802) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME49802) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2015-05-26 |