| NPI | 1487918389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME125201) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2012019694) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2023-08-14 |