| NPI | 1730878216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 1027891) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD27010) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2026-07-22 |