| NPI | 1346865243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME167195) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 22926) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2024-08-07 |