| NPI | 1396791877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME59781) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME59781) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-05-26 |