| NPI | 1952962623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 22857) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME DO3467) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2025-04-10 |