| NPI | 1780611764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME90568) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME90568) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2025-02-07 |