| NPI | 1356374821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD23060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME63783) |
| 207R00000X Internal Medicine (Licence: NH LT-4027) | |
| 208000000X Pediatrics (Licence: FL ME63783) | |
| 208000000X Pediatrics (Licence: ME MD23060) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-08-26 |