| NPI | 1033206420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 291378) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME EC061109) |
| 207Q00000X Family Medicine (Licence: CA A109318) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2018-03-19 |