| NPI | 1942437439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD20414) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD20414) |
| 208000000X Pediatrics (Licence: MA L-241258) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2017-05-08 |