| NPI | 1013437706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME137937) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 25064) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-10-02 |