| NPI | 1669669578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME100021) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME100021) |
| 207R00000X Internal Medicine (Licence: FL ME100021) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2021-01-21 |