| NPI | 1598735722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD13330) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 013330) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2023-08-04 |