| NPI | 1811977879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME 61977) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME61977) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2017-03-13 |