| NPI | 1497772495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME169721) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 47768) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2024-11-14 |