| NPI | 1083829816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C181110) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD18158) |
| 207Q00000X Family Medicine (Licence: NH 14378) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2026-06-04 |