| NPI | 1831365311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME DO2364) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101017603) |
| 208000000X Pediatrics (Licence: ME DO2364) | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2018-10-10 |