| NPI | 1740447051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME91928) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME91928) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2019-09-01 |