| NPI | 1841817772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME155672) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN31496) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME155672) | |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2024-01-08 |