| NPI | 1023270659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME140616) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2008017890) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2023-11-01 |