| NPI | 1770148819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME136186) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME136186) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2022-05-26 |