| NPI | 1639538606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME169596) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD468529) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2024-10-17 |