| NPI | 1114543725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 1016180) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME EC201083) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2024-03-04 |