| NPI | 1841223633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME92584) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME92588) |
| 208000000X Pediatrics (Licence: FL ME92584) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2012-11-09 |