| NPI | 1679688956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO1224) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 1224) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-08-29 |