| NPI | 1609895937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME0045727) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME0045727) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-03-07 |