| NPI | 1194897801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME 018336) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME EC-06-1061) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-06-07 |