| NPI | 1396032389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME134860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247688) |
| 208D00000X General Practice (Licence: PR 020163) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2019-04-04 |