| NPI | 1720474950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME136263) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME136263) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2018-10-19 |