| NPI | 1528270196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 73396) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 0420010892) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2014-06-16 |