| NPI | 1689816951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: FL ME 103685) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME103685) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2019-06-19 |