| NPI | 1598250730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME142883) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN26628) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2021-12-09 |