| NPI | 1184814816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME137416) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C10009438) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2022-08-18 |