| NPI | 1033634407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-50168) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME134954) |
| 207Q00000X Family Medicine (Licence: GA 7501) | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2024-01-23 |