| NPI | 1851340947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME123886) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 31712) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2018-10-02 |