| NPI | 1144231598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 054854) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME127933) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-01-08 |