| NPI | 1740445139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 2023-03124) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MD D0089027) |
| 208D00000X General Practice (Licence: DC MD046770) | |
| 208D00000X General Practice (Licence: FL ME138057) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2024-02-27 |