| NPI | 1346225711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD12367) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 012367) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2023-11-02 |