| NPI | 1033144001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME92093) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME92093) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-10-08 |