| NPI | 1326239815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 235928) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 052986) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2020-11-08 |