| NPI | 1851551097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO3571) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0057402) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2023-06-26 |