| NPI | 1083657985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME139358) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME139358) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2025-04-08 |