| NPI | 1679771281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 244878) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME100869) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2008-05-08 |