| NPI | 1558328575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME48143) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME0048143) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2011-12-20 |