| NPI | 1609398429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO3139) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME TP17055) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2021-04-07 |