| NPI | 1376746891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME58603) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME 0058603) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2016-11-03 |