| NPI | 1770922288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME69580) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME69580) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2024-03-28 |