| NPI | 1134282585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME68519) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME68519) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2026-03-31 |