| NPI | 1073502803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME 016944) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD16944) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2024-04-30 |