| NPI | 1518420264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2025-1287) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME155789) |
| 208M00000X Hospitalist (Licence: FL ME155789) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2026-03-18 |