| NPI | 1275686081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME100861) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN 10718) |
| 207R00000X Internal Medicine (Licence: FL TRN9061) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-12-15 |