| NPI | 1427343003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME121521) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN16569) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2021-05-20 |