| NPI | 1205240678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 24374) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME DO2412) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2023-10-30 |