| NPI | 1427469147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME125366) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN19970) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2018-03-17 |