| NPI | 1376505628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME91351) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME91351) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2007-07-08 |