| NPI | 1700401734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO3688) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS18375) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2023-08-16 |