| NPI | 1538329628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME146488) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 4814) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2020-12-03 |