| NPI | 1972950285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OK ME133359) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME133359) |
| 207R00000X Internal Medicine (Licence: RI LP03604) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2026-01-20 |