| NPI | 1609001106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME103551) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: FL ME103551) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2022-05-25 |