| NPI | 1518257682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD21138) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 54149) |
| 208000000X Pediatrics (Licence: CT 54149) | |
| 208000000X Pediatrics (Licence: ME MD21138) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2016-08-18 |