| NPI | 1740509215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME114030) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 84537) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2024-01-16 |