| NPI | 1710140413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO2358) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME DO2358) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2017-03-22 |