| NPI | 1508181678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME125427) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 270207) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2016-10-17 |