| NPI | 1649568288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME12604412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME126044) |
| 282N00000X General Acute Care Hospital (Licence: FL ME126044) | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2020-04-24 |