| NPI | 1396183083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 269005) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 255948) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2016-09-28 |