| NPI | 1316208762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO2502) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: ME DO2502) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2025-03-12 |