| NPI | 1558388363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD28035) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 042-0009716) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2024-08-27 |