| NPI | 1154480549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 18879) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 014199) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2018-07-31 |