| NPI | 1427540319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO3243) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT018353) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2024-09-30 |