| NPI | 1588981278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME114655) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN16274) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2013-05-16 |