| NPI | 1043837271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 82441-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH RT-3658) |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2024-01-18 |