| NPI | 1154388817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 14427) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 83923) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2010-06-23 |