| NPI | 1316334964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO2835) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 264558) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2023-08-09 |