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 |