| NPI | 1669772935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME108067) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME 108067) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2019-05-24 |