| NPI | 1932736782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME174856) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61418174) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-05-01 |