NPI | 1093073454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME136388) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 27872) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2024-06-18 |