NPI | 1275796518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME112274) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ME112274) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2025-08-15 |