| NPI | 1780038406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 22084) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME146917) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2024-03-07 |