| NPI | 1982685343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME69736) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME0069736) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2024-07-03 |