| NPI | 1780817734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME124273) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD044110E) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2020-01-28 |