| NPI | 1528684321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 285398) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA ETLL-1095) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2024-05-13 |