| NPI | 1942657739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME140052) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME140052) |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2020-09-01 |