| NPI | 1497741441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 17240) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 223893) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2022-02-09 |