NPI | 1326219767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME103485) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME103485) |
Enumeration Date | 2008-03-13 |
Last Update Date | 2015-12-29 |