| NPI | 1427790211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 1023520) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME EC221067) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2025-08-26 |