| NPI | 1063500767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO2653) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: ME DO2653) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-07-01 |