| NPI | 1679834725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: HI MD19846) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL ME136482) |
| 208D00000X General Practice (Licence: GA 75218) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME136482) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: FL ME136482) | |
| 207Q00000X Family Medicine (Licence: FL ME136482) | |
| 208D00000X General Practice (Licence: CA 186322) | |
| 208D00000X General Practice (Licence: TX W1967) | |
| 208D00000X General Practice (Licence: FL ME136482) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2026-04-16 |