| NPI | 1649478389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME98844) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME98844) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-11-04 |