| NPI | 1891962916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME138565) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME138565) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NH 13395) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2025-01-08 |