| NPI | 1467981381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME158366) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD471138) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-01-18 |