| NPI | 1649488107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 42-8468) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD21340) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VT 42-8468) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2024-01-18 |