| NPI | 1144272543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME 013878) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA C51611) |
| 207Q00000X Family Medicine (Licence: CA C51611) | |
| 207P00000X Emergency Medicine (Licence: VT 042-0010248) | |
| 207Q00000X Family Medicine (Licence: VT 042-001248) | |
| 207P00000X Emergency Medicine (Licence: AZ 21800) | |
| 207Q00000X Family Medicine (Licence: AZ 21800) | |
| 207P00000X Emergency Medicine (Licence: ME 013878) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-09-11 |