| NPI | 1033154083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME147823) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 10290) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2021-05-05 |