| NPI | 1457627762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 281034) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2015-02264) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2024-08-22 |