| NPI | 1407850365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME93743) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME93743) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2014-06-09 |