| NPI | 1568699767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 251088) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 241086) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2020-10-09 |