| NPI | 1003554601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 40010) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME DO4138) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2026-09-27 |