| NPI | 1699790527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2012-01461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME53785) |
| 208000000X Pediatrics (Licence: FL ME53785) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME53785) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-06-11 |