| NPI | 1821525114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME146137) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0071865) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2023-12-15 |