| NPI | 1669413738 |
|---|---|
| Former Name | DOLORES KATHLEEN SPAVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME76211) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME0076211) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-10-24 |