| NPI | 1851658231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME133787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 261528) |
| 208000000X Pediatrics (Licence: FL ME133787) | |
| 208000000X Pediatrics (Licence: MA 261528) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2019-06-20 |