| NPI | 1568574523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME0055442) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME0055442) |
| 208000000X Pediatrics (Licence: FL ME0055442) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-07-30 |