| NPI | 1417914011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME83596) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 83596) |
| 208000000X Pediatrics (Licence: FL ME 83596) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2021-05-20 |