| NPI | 1609365907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME154195) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14626) |
| 208D00000X General Practice (Licence: FL ACN1138) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME154195) | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2024-07-31 |