| NPI | 1124689286 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME CNP191141) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME CNP191141) | 
| Enumeration Date | 2019-06-27 | 
| Last Update Date | 2022-02-17 |