| NPI | 1326111667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D59697) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD34077) |
| 207Q00000X Family Medicine (Licence: VT 010233980) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-06-30 |