| NPI | 1154338424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME82976) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME82976) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2026-03-06 |