| NPI | 1326030099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME163663) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 042.0013060) |
| 207Q00000X Family Medicine (Licence: NH 10816) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2024-01-17 |