| NPI | 1669530218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME74069) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME74069) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-10-13 |