| NPI | 1861717274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME141941) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 200259) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2025-02-26 |