| NPI | 1225156235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME116960) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C50234) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME116960) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2022-11-21 |