| NPI | 1457790073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 17703) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 282062) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2026-03-23 |