| NPI | 1225254568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: ME MD18220) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: NH 21060) |
| 207P00000X Emergency Medicine (Licence: OH 57.012103) | |
| 207P00000X Emergency Medicine (Licence: ME MD18220) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2025-12-02 |