| NPI | 1598127581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME145192) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME145192) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2022-09-30 |