| NPI | 1093016685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME152294) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A113663) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2023-12-08 |