| NPI | 1639272131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME124493) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D60526) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2024-06-04 |