| NPI | 1982934915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0066650) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME0066650) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2018-06-11 |