| NPI | 1316400211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME164740) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME164740) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2023-11-16 |