| NPI | 1043506892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO2436) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME T1108) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2014-04-21 |