| NPI | 1093010027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME111374) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME111374) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2011-01-23 |
| Last Update Date | 2020-06-22 |