| NPI | 1578670980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 103885) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME 103885) |
| 208000000X Pediatrics (Licence: KS K0432551) | |
| 207R00000X Internal Medicine (Licence: KS K0432551) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-11-22 |