| NPI | 1811956683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME108366) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA md069042L) |
| 208000000X Pediatrics (Licence: FL ME108366) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2024-11-05 |