| NPI | 1750463980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME57743) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME57743) |
| 208000000X Pediatrics (Licence: FL ME57743) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-04-26 |