| NPI | 1295926749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME100551) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 100551) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2022-02-22 |