| NPI | 1790887883 |
|---|---|
| Former Name | ROSE MARIE TOUSSAINT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME 90856) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME 90856) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2013-02-22 |