| NPI | 1366639957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME150205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 081582) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2025-01-20 |