| NPI | 1447488978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME113482) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL31787) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2014-05-05 |