| NPI | 1255710083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME137103) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: FL ME137103) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: KY 1255710083) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2023-06-12 |