| NPI | 1730491382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME131758) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME131758) |
| 207R00000X Internal Medicine (Licence: MA 254425) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2022-02-24 |