| NPI | 1801226733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME121289) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN19119) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2022-08-02 |