| NPI | 1821585928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO3245) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR PG188339) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2021-09-07 |