| NPI | 1396092201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 15833) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 042-009431) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2013-01-02 |