| NPI | 1497075329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO2672) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 052100) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2022-08-09 |