| NPI | 1326479460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME121226) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN 17495) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2024-05-14 |