| NPI | 1871546788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME93843) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME93843) |
| 261QI0500X Clinic/Center, Infusion Therapy (Licence: FL ME93843) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-02-14 |