| NPI | 1427109438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 230646) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME DO2578) |
| 207Q00000X Family Medicine (Licence: NJ 25MB09821000) | |
| 207Q00000X Family Medicine (Licence: NY 282709) | |
| 207Q00000X Family Medicine (Licence: RI DO00634) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2025-12-03 |