| NPI | 1851884811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME142301) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN26766) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2024-03-21 |