NPI | 1912081266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME78157) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME 78157) |
208000000X Pediatrics (Licence: FL ME78157) | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2013-01-04 |