| NPI | 1669454765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME97104) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME97104) |
| 208M00000X Hospitalist (Licence: FL ME97104) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2016-03-15 |