| NPI | 1013988013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 19010) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 1889) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2021-05-12 |