| NPI | 1215007125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME94429) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME94429) |
| 207Q00000X Family Medicine (Licence: FL ME94429) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2022-04-04 |