| NPI | 1902852312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME40132) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME0040132) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-04-12 |