| NPI | 1326676404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME159778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC ME159778) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2022-12-23 |