| NPI | 1396163150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 90640) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME DO2703) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2022-12-08 |