NPI | 1477762839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME135256) |
Additional Taxonomies | 174400000X Specialist (Licence: PR 15998) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2024-06-11 |