| NPI | 1487949285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: HI ME-22313) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME-154882) |
| 207Q00000X Family Medicine (Licence: MI 4301098182) | |
| 207Q00000X Family Medicine (Licence: HI MD-22313) | |
| 208D00000X General Practice (Licence: FL MD-154882) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2022-05-17 |