| NPI | 1932549177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME158831) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 13976) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2023-04-11 |