| NPI | 1598115750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 268387) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 66696) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2023-02-09 |