| NPI | 1427437755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME177353) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 081165) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2025-12-19 |