| NPI | 1285031948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME145023) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18761) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2026-02-04 |