| NPI | 1497962450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D66288) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 95139) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-12-11 |