| NPI | 1942418579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME132441) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME132441) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2024-08-30 |