| NPI | 1225597057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME156906) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME156906) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-01-24 |