| NPI | 1700122264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME123298) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 254516) |
| 208000000X Pediatrics (Licence: FL ME123298) | |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2016-08-10 |