| NPI | 1528116365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 00024127) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME131656) |
| 207Q00000X Family Medicine (Licence: NJ 25MA10365200) | |
| 207Q00000X Family Medicine (Licence: PA MD466152) | |
| 207Q00000X Family Medicine (Licence: VT 042.0014217) | |
| 207Q00000X Family Medicine (Licence: NY 296818) | |
| 207Q00000X Family Medicine (Licence: MA 276775) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2019-10-21 |