| NPI | 1407831910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 12145) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD17752) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2023-08-23 |